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A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus
KEY CLINICAL MESSAGE: The reckless or ridiculous usage of high pressure compressed air could lead to disastrous consequences as demonstrated in this case. Injuries from a barotrauma can vary from a simple mucosal laceration to tension pneumoperitoneum causing abdominal compartment syndrome. Decompre...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185732/ https://www.ncbi.nlm.nih.gov/pubmed/37205151 http://dx.doi.org/10.1002/ccr3.7344 |
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author | Bakka, Havil Stephen Alexander Babu, Perumalla Karthik Kutikuppala, Lakshmi Venkata Simhachalam Suvvari, Tarun Kumar Koirala, Samrat Babu |
author_facet | Bakka, Havil Stephen Alexander Babu, Perumalla Karthik Kutikuppala, Lakshmi Venkata Simhachalam Suvvari, Tarun Kumar Koirala, Samrat Babu |
author_sort | Bakka, Havil Stephen Alexander |
collection | PubMed |
description | KEY CLINICAL MESSAGE: The reckless or ridiculous usage of high pressure compressed air could lead to disastrous consequences as demonstrated in this case. Injuries from a barotrauma can vary from a simple mucosal laceration to tension pneumoperitoneum causing abdominal compartment syndrome. Decompression by a wide‐bore needle can be done as depicted in our patient to provide immediate relief. ABSTRACT: Rectal perforation most commonly occurs due to trauma, but rarely due to a high pressure compressed air passing through the anus as a part of playful joke. Owing to the belief of medico‐legal issues and socio‐psychological circumstances about the ano‐rectal injury, initial approach to the medical facilities might be delayed, causing a delayed presentation and poor prognosis. We report an incident of a young male who presented with tension pneumoperitoneum causing abdominal compartment syndrome with fecal peritonitis due to forceful passing of high‐pressure air through his anus. An initial decompression of the abdomen with a wide‐bore needle was done at the emergency room. An emergency laparotomy with a primary repair of the rectal perforation by two layered sutures was done followed by a loop colostomy, 10 cm proximal to the injury. Colostomy closure was performed after 4 weeks. Post‐operative recovery period was uneventful. |
format | Online Article Text |
id | pubmed-10185732 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101857322023-05-17 A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus Bakka, Havil Stephen Alexander Babu, Perumalla Karthik Kutikuppala, Lakshmi Venkata Simhachalam Suvvari, Tarun Kumar Koirala, Samrat Babu Clin Case Rep Case Report KEY CLINICAL MESSAGE: The reckless or ridiculous usage of high pressure compressed air could lead to disastrous consequences as demonstrated in this case. Injuries from a barotrauma can vary from a simple mucosal laceration to tension pneumoperitoneum causing abdominal compartment syndrome. Decompression by a wide‐bore needle can be done as depicted in our patient to provide immediate relief. ABSTRACT: Rectal perforation most commonly occurs due to trauma, but rarely due to a high pressure compressed air passing through the anus as a part of playful joke. Owing to the belief of medico‐legal issues and socio‐psychological circumstances about the ano‐rectal injury, initial approach to the medical facilities might be delayed, causing a delayed presentation and poor prognosis. We report an incident of a young male who presented with tension pneumoperitoneum causing abdominal compartment syndrome with fecal peritonitis due to forceful passing of high‐pressure air through his anus. An initial decompression of the abdomen with a wide‐bore needle was done at the emergency room. An emergency laparotomy with a primary repair of the rectal perforation by two layered sutures was done followed by a loop colostomy, 10 cm proximal to the injury. Colostomy closure was performed after 4 weeks. Post‐operative recovery period was uneventful. John Wiley and Sons Inc. 2023-05-15 /pmc/articles/PMC10185732/ /pubmed/37205151 http://dx.doi.org/10.1002/ccr3.7344 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Bakka, Havil Stephen Alexander Babu, Perumalla Karthik Kutikuppala, Lakshmi Venkata Simhachalam Suvvari, Tarun Kumar Koirala, Samrat Babu A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
title | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
title_full | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
title_fullStr | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
title_full_unstemmed | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
title_short | A case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
title_sort | case of tension pneumoperitoneum with fecal peritonitis due to high‐pressure air insufflation through the anus |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185732/ https://www.ncbi.nlm.nih.gov/pubmed/37205151 http://dx.doi.org/10.1002/ccr3.7344 |
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